A teenage girl with a known history of bipolar disorder has been taking Lithium for a year. The doctor has ordered that the teen start taking Haloperidol because of increased irrational behavior. The nurse should:

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Pediatric Mental Health NCLEX Questions Quizlet Questions

Question 1 of 5

A teenage girl with a known history of bipolar disorder has been taking Lithium for a year. The doctor has ordered that the teen start taking Haloperidol because of increased irrational behavior. The nurse should:

Correct Answer: A

Rationale: Haloperidol can be used with lithium, but education on side effects (A) like extrapyramidal symptoms is crucial. There’s no absolute contraindication (B), and timing (C) or verification (D) are secondary to patient education.

Question 2 of 5

The nurse is explaining the difference of Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) to a parent. The best explanation is:

Correct Answer: C

Rationale: ODD involves defiance with some remorse, while CD features rule-breaking without guilt (C), reflecting their diagnostic distinction. CD isn’t remorseful (A), ADHD doesn’t guarantee ODD (B), and constant intervention (D) overstates CD’s needs.

Question 3 of 5

A teen that is taking antipsychotic medications is complaining to the nurse that her tongue feels very thick. The nurse assesses the teen and notes that her eyes continuously look at the ceiling, and the tongue is not swollen. The nurse knows this could be a sign of:

Correct Answer: D

Rationale: Upward eye movement and perceived tongue thickness without swelling suggest dystonia (D), an extrapyramidal side effect of antipsychotics, not hallucinations (A), general side effects (B), or delusions (C).

Question 4 of 5

A 7-year-old boy diagnosed with ADHD is starting medications. The nurse is providing education to his parents regarding his medication. Which of the following statements is true regarding these medications?

Correct Answer: B

Rationale: ADHD stimulants often cause insomnia or appetite suppression (B), not weight gain (A), and should be taken consistently, not just for school (C), making B the true statement.

Question 5 of 5

A nurse is teaching a group of guardians about manifestations of conduct disorder. Which of the following findings should the nurse include? (Select one that does not apply)

Correct Answer: B

Rationale: Conduct disorder (CD) is characterized by persistent violation of societal norms and others’ rights, including: (A) bullying, a common aggressive behavior; and (C) law-breaking activities, such as theft or vandalism, which are diagnostic criteria. (B) suicide threats align more with mood disorders, and (D) narcissistic behavior, while possible, isn’t a core feature of CD, which focuses on externalized aggression over self-focus.

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